APPOINTMENT PREFERENCE:

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At Kingsford Podiatry Group we respect your privacy. All information collected, is stored securely and accessed only by our staff. In order to provide the highest standard of podiatry care, there are times when we may communicate with your other healthcare providers.

By submitting this form, I have read the privacy information and I consent to collection and dissemination of information as described. I understand that provision of my medical history is necessary to provide me with effective, safe and efficient Podiatric management. I have answered all questions to the best of my knowledge. I agree to notify the Podiatrist of any change in my health.